Individual
CHANTELLE SHADRINA MABEREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 EMPIRE ST STE 120, FAIRFIELD, CA 94533-5550
(707) 440-9923
Mailing address
744 EMPIRE ST STE 120, FAIRFIELD, CA 94533-5550
(707) 440-9923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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